Individual provider Active NPI

Naxyeli Samantha Wheeler, MA

  • Mental Health Counselor
  • Murrieta, CA
National Provider Identifier
1902039308
Registry record updated May 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
99186 Issued in CA
Practice address
29970 Technology Dr Ste 117B
Murrieta, CA 92563-2647
Phone
(951) 916-9955
NPI assigned
Sep 1, 2009
Last updated
May 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 99186 CA Primary

Addresses

Primary practice location

29970 Technology Dr Ste 117B
Murrieta, CA 92563-2647

Mailing address

29970 Technology Dr Ste 117B
Murrieta, CA 92563-2647
Phone (951) 916-9955

Other names 1

  • Mrs. Naxyeli Lopez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
99186CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Breathing Sol Marriage and Family Therapy, Inc. CurrentSince Nov 10, 2019 Accepting new patients

Locations

29970 Technology Dr
Ste 117B
Murrieta, CA 92563
Phone (951) 290-8496

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653091200000",
    "number": "1902039308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29970 TECHNOLOGY DR STE 117B",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632647",
            "telephone_number": "951-916-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29970 TECHNOLOGY DR STE 117B",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632647",
            "telephone_number": "951-916-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "NAXYELI",
        "middle_name": "SAMANTHA",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "99186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAXYELI",
            "last_name": "LOPEZ",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.